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NPI Code Detail

MEDICARE: B BASKOT MD PA

MEDICARE: B BASKOT MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/CenterME70813FL

General Provider Information

NPI Number : 1750603510
Entity Type Code : Organization
Provider Name (Legal Business Name) : B BASKOT MD PA
Provider Business Mailing Address
First Line : 1142 E BROWARD BLVD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33301-2012
Country : US
Telephone Number : 954-888-9858
Fax Number : 954-832-8385
Provider Business Practice Location Address
First Line : 1142 E BROWARD BLVD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33301-2012
Country : US
Telephone Number : 954-888-9858
Fax Number : 954-832-8385
Authorized Official
Title or Position : OWNER
Name : DR. BILJANA BASKOT
Credential : MD
Telephone Number : 954-888-9858
Provider Enumeration Date : 02/22/2010
Last Update Date : 02/01/2021

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Directions to “B BASKOT MD PA ” Practice Location

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